Mindfulness

Why Do We Get Anxiety?

Many of the clients I see in my Annapolis, Md., counseling office suffer from anxiety, stress and feelings of being overwhelmed. Anxiety often slips slowly into lives, and it’s not always easy to recognize. I like working with clients who have anxiety because I know what it’s like to experience anxiety, and I realize the impact that it has on me. I also know that there’s hope. You can learn ways to manage anxiety that allow you to feel more in control.

When Anxiety Shows Up

Anxiety shows up in different ways. The most common form is called “generalized anxiety”—that is, you feel anxious about lots of things throughout your day. You might even have an anxiety attack occasionally, where you feel extremely anxious and experience intense physical symptoms.

Anxiety is a response to a perceived threat

Anxiety is a response to a perceived threat

Anxiety is a response to a perceived threat. When you’re anxious, it’s because a situation or event makes you feel uncomfortable, out of control or unsafe. Sometimes these uncomfortable feelings are unconscious and below the surface. Then, the anxiety bubbles up and you don’t have a clear understanding of why. That’s scary and leaves you feeling like you have very little control.

When you feel unsafe—and this might be an unconscious feeling—your body automatically responds as if there’s danger. We are hard-wired to ready ourselves for a fight, to flee or to freeze when we perceive that we’re in a dangerous, potentially lethal situation. This hard-wired response stems from our primal beginnings, when we had to fight off dangerous animals for survival. Today, the danger may be real, or it could just be that something triggered a memory of a previously dangerous time, but our body doesn’t know the difference!

Physical Symptoms Of Anxiety

When you perceive danger, your body jumps right in all on its own. Your brain releases chemical messengers that signal your body to be afraid and ready it to fight or flee. But that’s not all; they affect your heart, lungs, skin and internal bodily functions, too.

  • Your heart rate can increase.

  • You might breathe faster and shallower.

  • Your might skin get hot or tingle.

  • Your mouth and throat get dry.

  • You might have trouble swallowing.

  • You could get a stomachache, or feel nauseous.

You can find out more about your body’s stress and anxiety responses in this New York Times article on Stress and Anxiety, The Body’s Response.

When Anxious Feelings Stick Around

For many people, anxiety comes and goes. But if you’ve had a lot of very stressful, very difficult experiences in your life, and you weren’t given the opportunity to process them, which can help relieve the stress, then you’re probably carrying anxiety with you all the time.

Anxiety’s Impact On Your Life

When anxiety is a constant companion, your body is living under stress most of the time. You might become used to living this way, but it takes a toll on your physical health, your mental health, your relationships and your interactions with your environment.

Some signs that anxiety might be ruling your life:

  • You’re easily startled.

  • Your startle response is out of proportion to the trigger. For example, you scream when someone touches you unexpectedly.

  • You often avoid people or situations because of uncomfortable feelings.

  • Stepping outside your comfort zone leaves you feeling overwhelmed and exhausted.

  • You experience anxiety attacks.

  • You worry all the time.

  • Your worries keep you up at night.

I know what it’s like to live with anxiety when it takes control of your life. It affected my sleep, my digestion and my relationships with friends and family. If I hadn’t gotten the help I needed, it might still be ruling my life.

How Anxiety Affects Relationships

You might isolate yourself when anxiety shows up

You might isolate yourself when anxiety shows up

As I mentioned above, anxiety can affect the quality of your relationships. It can make you irritable, and you might snap at your partner, children or friends for reasons that are not apparent to them, or even to you. You might isolate yourself because of your worries about stepping outside your comfort zone. You might be depressed with little motivation for new activities, because that little voice inside your head is whispering negative comments to you about your worth or abilities. Or you might think that there’s something wrong with you or that you’re damaged and can never be “normal.”

Whatever the impact, you can do things to move anxiety to the passenger’s seat!

5 Steps That Help You Manage Anxiety

  1. Recognize that anxiety often stems from fear. Try to go a little deeper to figure out what triggered your fear. If the fear seems unreasonable, as if it came from nowhere, or it stems from you feeling a lack of control, gently remind yourself that your body thinks this is a life-threatening situation, but you’re safe right here, right now.

  2. Learn and practice relaxation and grounding skills. Meditation, mindful awareness, deep breathing, taking a bath, hugging someone close to you, mindfully patting your dog or cat, or taking a walk in nature al all great options. Find what works for you, or try a combination of things. Sometimes just changing it up makes all of the difference.

  3. Exercise regularly. I can’t say enough about exercising regularly to help manage anxiety. Exercise releases the body’s “make-you-feel-good” chemicals. According to the Anxiety And Depression Association (ADAA), “Scientists have found that regular participation in aerobic exercise has been shown to decrease overall levels of tension, elevate and stabilize mood, improve sleep, and improve self-esteem. About five minutes of aerobic exercise can begin to stimulate anti-anxiety effects.” Sounds pretty good, doesn’t it? You can find out more about exercise and anxiety here on the ADAA website. If you can’t do vigorous exercise, then take a 20-minute walk and try to be present with the environment.

  4. Create regular sleep habits. Getting a good night’s sleep is another great way to combat anxiety. If you aren’t sleeping well, your body doesn’t have a chance to reset and relax. So, you wake up already stressed from the day or night before. The, if you add the additional stressors of the new day, you can get very anxious very quickly.

  5. Eat a healthy diet. A healthy body works better and more efficiently, and the proper nutrition can help stimulate the body’s natural stress responses.

Individual and group counseling can also help because it gives you a safe place to process and difficult life events. It’s a space where you’re heard and seen without judgment, and it can give you hope when it might feel like there’s none. If you are struggling and you think counseling might help you manage your anxiety, call or email me and we can talk about it.

Want to know more? I have a few articles about anxiety, its causes and things you can do to help yourself on my blog and on my podcast Woman Worriers.

New support groups for women with anxiety are forming now and begin at the end of March! You can learn more here.


Elizabeth Cush, LCPC is a therapist, blogger,  host of the Woman Worriers podcast, and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Els Fattah on  Photo by Els Fattah on Unsplash

Woman Worriers Podcast: A New Resource For Women With Anxiety

If you worry and have a hard time getting a handle on your anxiety, I’d like to introduce you to a new resource. I have just launched a podcast for anxious women, and I am so excited to share it with you. My new Woman Worriers podcast is now available on iTunes!

Why “Woman Worriers”?

Woman worriers.png

Research shows that women are twice as likely as men to be diagnosed with an anxiety disorder, and I hope to investigate the reasons why through podcasting. I also want to help women better understand their anxiety, to recognize things that might trigger anxiety and to explore better ways to manage anxiety every day. With this mission in mind, my hope is to reach as many anxious women as possible.

If you read my blog, you know that I struggle with anxiety myself and that I’m an advocate for using mindfulness and meditation as a way to help manage the anxiety. You might also know that anxiety doesn’t just go away, because it’s a part of our natural defense mechanisms that help keep us safe from harm. The problems come when our brain and body think we need to be anxious all the time.

We’ll Learn From Experts

For the Woman Worriers podcast, I’m interviewing therapists, mindfulness experts, and medical professionals. I’ll also be looking at the social, cultural, societal and environmental factors that might contribute to women’s anxiety.

I hope to shine a light on women’s anxiety and give women the power to manage it in healthy ways.

In order to reach as many women as possible, I’m asking you for a favor. New podcasts need help gaining visibility and traction, and the things that help create that buzz are subscribing to, rating and reviewing new podcasts.

You can tune in and subscribe to auto-download new podcast episodes to your Apple or Android (coming soon) device. After you listen to a few episodes, please consider leaving an honest rating and review in iTunes  and let me know how you think this podcast might benefit women.

Thank you for your support and encouragement! 

You can also follow the podcast on Twitter, Facebook and the Woman Worriers homepage.

 Also, there are Woman Worriers support groups forming now to help you manage anxiety.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

What Have You Done For You Lately?

If you’re the kind of person who is always thinking about other people’s needs, it leaves little time to think about your own. It can also leave you feeling resentful, underappreciated and maybe even taken advantage of.

When the realization finally hits that you want more for yourself, it can come as a surprise. Giving to others seemed like it was enough, or maybe it just took up so much of your time that you forgot you had needs of your own. Or maybe you understood that you had needs, too, but it felt selfish to put your needs first.

Growing Up In A Stressful Home

So, how did you get to be a person who puts your own needs last? You see other people who say, “No.” Why is it so hard for you to set boundaries?

Childhood stress impacts adulthood

Childhood stress impacts adulthood

Children who grow up with caregivers who set unreasonably high expectations, who are extremely volatile, or who need their children to take care of them are at risk of becoming adult children who put their own needs last or who suppress their needs altogether.

Children learn at a very early age how they’re expected to be in the world. So, if the message you received in childhood is that your needs don’t matter, or that it’s selfish or even dangerous to ask to have your needs met, you’re likely become an adult who has difficulty seeing yourself as a priority or in need of self-care. It’s hard to undo those patterns of behavior.

It’s All In The Past — Or Is It?

Below are some of the responses I’ve heard from friends and clients when they talk about how their past experiences are affecting their adulthood.

Past experiences can impact adulthood

Past experiences can impact adulthood

  • “I’m over it.”

  • “I’ve moved on.”

  • “I don’t even think about my childhood.”

  • “What’s the point of rehashing old wounds?”

  • “I barely remember my childhood.”

But the past does affect the present! What you experienced in childhood determines how you learned how to maneuver in the world. It’s how you learned how to survive. But sometimes the survival or coping skills you learned as a child to get by and to please your caregivers stop working for you. They might even hurt you in adulthood.

Anxiety From Childhood Stressors

If you feel a lot of anxiety but you aren’t sure what’s causing it, you might be experiencing a flashback or an unconscious past memory that was triggered by a present experience. Or maybe your anxiety stems from your ignoring or putting your own needs last. If you’re constantly giving to others with little consideration for yourself, it can bring up some difficult feelings like anger, resentment and frustration. Those difficult feelings can be hard to tolerate if you’re unfamiliar with expressing them, and that can bring on feelings of anxiety.

Tuning Into Anxiety To Help Heal

Tune into anxiety with compassion

Tune into anxiety with compassion

Anxiety is something we like to avoid, ignore or push through. I get it, I’ve been there. But by tuning into your anxiety, you can hear your body telling you that it’s afraid or feels threatened. When you’re a person who always gives to others with little consideration for what you need, your body is probably telling you that it’s feeling threatened because no one is listening. You’re invisible to yourself and others. That feels scary and maybe a little too much like childhood, where you learned that it was safer and easier to take care of others.

When we learn to listen with compassion and love to the fear that lies below the anxiety, it can lead to a deep healing of old wounds. Meditation, mindful awareness and individual therapy can all help in the healing process.

Self-Care Doesn’t Mean Selfish

Learning new behaviors takes time and patience. Self-care isn’t something many of us learned at a young age. Self-care isn’t selfish; it’s a basic need. If we don’t know what we need, then it’s really hard to take care of ourselves. It takes practice — lots of it — to create a lifelong self-care routine. So be compassionate, loving and kind to yourself in this journey!

If you’d like support on your journey of mindful self-awareness and anxiety management, Woman Worriers Groups are forming now. You can find out more about the groups here.


Elizabeth Cush, LCPC is a therapist, blogger,  host of the podcast Woman Worriers and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Katherine Chase & Morgan Basham & Tanja Heffner on Unsplash

Have A Mindful Valentine's Day!

Be mindful of your feelings this Valentine's Day

Be mindful of your feelings this Valentine's Day

Today is Valentine’s Day and whether or not you celebrate, or consider a “valid” holiday it’s hard to miss all the hoopla. I went to the drugstore to buy a condolence card yesterday and I overwhelmed by all of the Valentine’s Day merchandise­ — and I like to celebrate!

If you’re like me and enjoy the holiday, Happy Valentine’s Day to you!

If today makes you sad or depressed, or angry because it’s a made up “Hallmark” holiday then be mindful of taking care of yourself today.

  • Acknowledge your feelings and allow them to be there.

  • Offer yourself some compassion and love, and remember that others are struggling too.

  • Ask what you need to take care you yourself. Maybe you buy yourself some flowers, or maybe you choose to ignore the holiday altogether.

With that I wish you a happy, mindful, wonderful Wednesday!


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Anna Kolosyuk on Unsplash

How Is Feeling Flawed Holding You Back From Being Your True Self?

Many of my clients come to me because they experience a lot of stress and anxiety and want help learning how to manage it more effectively. As therapy progresses, it becomes evident that the deeply held feelings they have about themselves create or trigger their anxiety.

Uncovering these self-perceptions often takes time because they’re usually unconscious, only showing themselves when the anxiety starts to ramp up. As we work together, those buried beliefs begin to appear.

Some of the common themes that I hear from my clients include:

The fatal flaw is just a feeling

The fatal flaw is just a feeling

  • I am not enough.

  • I will always disappoint those who care about me.

  • I am unlovable.

  • There’s something in me that’s broken or flawed.

  • If they knew the real me, they wouldn’t like me.

  • Others will never see me for who I really am.

If You Feel Flawed, You’re Not Alone

My clients are often surprised when I tell them that their experience is not unique. Many of my clients hold similar beliefs about themselves.

In fact, at times in my life I’ve struggled with feeling deeply flawed as well. I used to tell myself that there was something wrong with me. I thought it explained why I had difficulty creating meaningful connections with the people in my life.

Feeling this way can cause a lot of pain. My clients tell me they believe that feeling broken or flawed is just who they are, and that it’s unlikely to ever change. That leaves them feeling sad, lonely and different from others. Therapy helps them better understand what occurred in their life to make them feel that way, and then we work on incorporating strategies in daily life to help them connect to more deeply with their true selves.

How To Handle The Feeling Of Being Flawed

In an article that Dr. Jonice Webb shared with me for this blog, she describes this experience as The Fatal Flaw. She describes “The Fatal Flaw: A deep-seated feeling that something is wrong with you. You are missing something that other people have. You are living life on the outside, looking in. You don’t quite fit in anywhere.”

Dr. Webb shares that “The Fatal Flaw is just a feeling.” In order to manage the feeling, we have to take charge. Here are some steps you can take that can help:

Talking about your feelings can help

Talking about your feelings can help

  • Notice when The Fatal Flaw shows up.

  • Name the feeling when it happens.

  • Talk about it with others. (This can be the hardest part but you might find that others feel the same way.)

  • Be compassionate with yourself when you feel flawed, different or damaged.

  • Seek therapy to help you begin to get more in touch with all of your feelings. Listening and understanding what you’re feeling and why helps to create a deeper connection with yourself. That connection with your self can lessen and often rid you of that fatally flawed feeling.

What I’ve learned in my own work and working with my clients is that learning to name, trust and truly feel your feelings helps you to feel more connected with your Self. If you’re constantly pushing away, ignoring or avoiding your feelings and thoughts, you’re never getting in touch with you, all of you — the good and the bad, the scared and the lonely, the excited or elated, the angry and the hurt — all of your beautifully imperfect parts.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Naqi Shahid and  Eye for Ebony on Unsplash

The Power of Making Movement Part of Your Journey

Recently, I’ve been exploring movement in my life. I don’t just mean my physical movement, but also movement through painting, movement in my psyche and movement in my environment.

Movement Helps Heal

Movement helps heal

Movement helps heal

I’ve been more mindful of movement because I’ve been incorporating movement into my own therapeutic journey. I’ve found it incredibly healing. I was traumatized as a young child, so I learned early on to disconnect from my physical experience. Because of that, it’s taken a concerted, mindful effort to get back in touch with all of my body’s sensations.

Our bodies can tell us a lot if we’re willing to be attentive and listen. The problem is that sometimes we get so caught up in our daily grind that we forget to pay attention. We ignore what we’re feeling, or we might have disconnected from our physical experience in order to cope with trauma. 

How Mindful Awareness Helps Us Stay In Touch With Our Bodies

Our bodies talk to us everyday. Actually they’re talking to us every moment of every day! Your stomach might growl because you’re hungry, or your bladder might feel full because you need to go to the bathroom. Maybe  a tightness in your chest signals that you’re feeling anxious. But often, we don’t tune into the physical sensation. We continue on with what we’re doing until the signal is hard to ignore.

The sensations that occur within our bodies aren’t always uncomfortable. You might feel a lightness in your chest or heart when you feel joy, or gratitude might make your heartspace feel warm and full,. Laughter can make your whole body vibrate.

Bringing a mindful awareness to the movement and sensations in your body can help you feel more connected internally and externally. The aliveness that’s there, at all times can help you recognize that all sensations and movements within will come and go. So you might feel good or bad for a time, but by being more aware you come to understand that you’re in a constant ebb and flow of feelings and sensations.

3 Ways To Bring Awareness To Movement

1. Move Your Body! Yoga, exercise, walking, dancing or whatever moves you! When you allow your body to move in ways that feel good to you, it can bring a whole lot connection and awareness to how your body feels and when it wants you to hear.

Art can make us aware of the power of movement

Art can make us aware of the power of movement

I’m taking an Authentic Movement Group with other healers. Without going into too much detail, the idea is that you trust your body to communicate with you about how to move in a way that feels true and authentic. (And you do it with your eyes closed!) It’s been an enlightening and freeing growth experience for me in ways I can’t even put into words.

2. Explore Through Art. Whether you draw, paint, sculpt or weave, it’s all about movement of the medium. I know you might say, “But I’m not an artist,” but guess what? It doesn’t matter! I’m not an artist. Without any formal training, I’ve begun painting with watercolors, and it’s fun! I try to approach it with no judgment. Some of my creations I love. Some, not so much — but expressing myself through the movement of color on paper has been another surprisingly powerful experience.

3. Notice Movement In Your Environment. As you walk, drive, run and move throughout your day, notice the sounds that move in and out of your awareness. Notice others moving around you. Notice how your own movements change as you walk, go up steps or sit down. Pay attention to the wind as it blows branches or trash or stoplights. Or notice how the wind passes by your cheek or blows your hair. Here’s a video I took of waves and the motion of water on a beach.

Movement is ongoing. What can we learn from that? The thing I’ve taken away from paying attention to all of this movement in and around me is that whatever I am experiencing at this moment, it’s likely to change. Maybe not right away, but it will change. So, I might be feeling anxious now, but it’s not going to last forever — and that’s reassuring.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Nadim Merrikh and Rifqi Ali Ridho on Unsplash

Top 10 Questions About Therapy And My Counseling Practice

Progression Counseling Office

Progression Counseling Office

If you’ve thought about getting counseling but haven’t taken the first step, you probably have questions. Everybody does. In this post, I’ll share the questions I hear most often — and the answers. If I haven’t addressed your specific question here, please feel free to ask.

1. Do you take insurance?

New clients who call or email often ask this question first. Research shows that the most important component of effective therapy is the therapeutic relationship, which means that if you feel connected and aligned with your therapist, you’re more likely to feel better sooner. Regardless of whether you need to use insurance, my advice is to interview a few therapists to find the one you like who seems to truly understand what you need from therapy. Word of mouth, Google searches, your insurance company, Good Therapy and Psychology Today are good places to start looking for therapists in your area.

I am an Out-of Network provider, which means that you pay me my full fee and I give you paperwork to file with the insurance company for your partial reimbursement (if they provide out-of-network coverage).  But I understand that health costs are crazy, and being able to use insurance is a real consideration for many people.

2. Are you accepting new clients?

I am! I have openings for individual and group therapy.

3. How does counseling help?

The therapist should be someone you feel comfortable with, someone you trust, and someone you feel understands you and your perspective. When you find that, therapy provides a safe, supportive space for you to share your stuff. The therapist should also be qualified to do the kind of work you need. For instance, if you’ve experienced trauma in your life, you want a trauma-focused therapist. I you’re looking for therapy for your child, you want someone qualified to work with kids. 

Many clients either don’t know how they’re feeling at any given moment, or their emotional state feels like it’s in charge. For them, it feels as though their emotions are invisible or uncontrollable. Counseling can help through exploration and development of relaxation strategies, mindfulness and grounding techniques that help regulate emotional states — an important step in therapy. 

Therapists work at your pace to explore and bring to light life the events or feelings you want to understand better. They help you practice skills for coping when life circumstances trigger you. Counseling also gives you the opportunity to examine new and different perspectives about yourself and your life, creating greater self-awareness. When we feel connected to ourselves, it’s easier to feel more connected to others.

Working with women who struggle with anxiety is my specialty

Working with women who struggle with anxiety is my specialty

4. What’s your specialty?

I work best with women who struggle with anxiety. I experience anxiety myself and I know how hard it can be to feel like you’re always reacting instead of responding! I know how difficult it can be when anxiety affects your sleep, your peace of mind and your relationships. I’ve worked hard to manage my anxiety, and I want to help others on their journey.

5. Can you help me get rid of my anxiety?

I can’t. Being anxious is a natural state when we’re afraid and feel threatened, so it doesn’t go away. But therapy can help you learn to manage the anxiety better through a greater awareness of what triggers the anxiety, and by practicing self-compassion and self-care, practicing relaxation skills, and using mindfulness to help you get out of your head (where we get stuck when we’re anxious) and more focused on the present moment.

I often tell new clients that managing anxiety means that you learn to be more comfortable with the discomfort that anxiety brings. 

6. How often do we meet?

Therapy works best when it’s consistent, so I recommend meeting weekly to start.

7. Are my issues more severe than most of your clients?

I get this question a lot and my answer is always pretty much the same. Everyone enters therapy from a different place. And each person’s journey through the counseling process is different. You are where you are. As we work together, you’ll gain a greater understanding of who you are and how you got to be the person you are today.

I don't prescribe medication

I don't prescribe medication

8. Do you prescribe medication?

No. In Maryland, therapists are not allowed to prescribe medication. If needed, you would see your primary care provider or a psychiatrist for medication management, and we would all work together to help you find the medication that works best for you.

9. Is group therapy for me?

Group therapy is a unique experience. Unlike individual therapy, where it’s just you and the therapist, group therapy gives you the unique perspectives of all the people who share the group with you. Their insight and experience often brings a greater awareness to what you’re experiencing. It’s also incredibly supportive and connecting.

10. How much?

The first session is $150 for one hour, and subsequent sessions are $100 for 45 minutes. Group therapy sessions are usually $45 for one hour, but often there are cost incentives to sign up early.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photos by Jon Ly on Unsplash & pina messina on Unsplash

Managing Anxiety For The Long Game

I’ve struggled with anxiety for most of my life and I’ve gotten pretty good at managing it. I recognize many of my triggers and I plan ahead when I know I might encounter a situation that sets me off. I’ve learned self-compassion, so I’m not too hard on myself. I practice mindfulness for relaxation and greater awareness, and I continue with my own therapy.

When Anxiety Pops-Up Without Warning

But  my anxiety still pops up sometimes , seemingly for no reason. It’s as though my body decided all on its own to be anxious! So how do I prepare for that? The reality is that sometimes anxiety is triggered by an implicit or unconscious memory. When that happens, our bodies are responding to a memory we’re not even aware of. Most likely, it’s not an actual threat.

Anxiety can hit you when you're least expecting it

Anxiety can hit you when you're least expecting it

For me, the anxious response often happens when I’m just about to fall asleep. I’m relaxed, tired and so ready for sleep. I begin to slip into that dreamlike state when you think you’re awake but you’re actually between sleep and wakefulness. I’m all ready to drift off and suddenly I’m wide awake, my heart is pounding and I feel like something bad is about to happen. How the heck am I supposed to fall sleep feeling like that?

Anxiety that seems to come out of nowhere is common. I encounter it often when working with my clients. Many of them feel as though their anxiety is hiding, just waiting to spring when they’re least expecting it. When anxiety appears without an obvious reason, they feel like it’s controlling them.

Managing An Anxious Memory

Even though the anxiety stems from a memory, our body responds as if the threat is real. The trigger could be something as small as a sound, smell or touch of something that reminds you of a past experience that truly did feel threatening. So, how do you deal with a threat that’s not actually a threat?”

To first thing to do to help get through those unexpectedly anxious moments is to recognize that the anxiety was triggered by some memory from your past. You can even say to yourself out loud (if no one is around), “OK, Body. I hear you telling me that something just made you really anxious! I can feel it, but I know this isn’t about something that’s happening right now.” Saying it out loud, or even just in your head, reinforces the fact that the anxious experience popped up because your body remembered something from the past, not something that’s happening right now.

Next, take a few deep breaths. Slow, deep breathing can calm your anxious nervous system. If you’d like some practice with deep breathing exercises you can find out more here.

Feel your feet planted firmly on the ground

Feel your feet planted firmly on the ground

Then orient yourself in the present moment. You might be asking yourself right now, “What the heck does that mean?” It means I want you to bring yourself out of your head, where the worry is controlling your reactions, and into where you are physically  — right here, right now. It’s called grounding. Metaphorically speaking, I want you to feel like your feet are planted firmly on the ground at this very moment in time, as if they were the trunk of a tree, with the roots spreading out beneath you to steady you and keep you strong.

There are a lot of different grounding strategies. I’ve detailed some of them in a video here. One of the easiest techniques I’ve found that you can do anywhere is tapping your feet. Tap each foot, alternating them back and forth, for a minute. As you do it, really pay attention to the feel of your feet on the ground, the sound they make as they tap and how the movement feels throughout your body.

Another grounding technique is to bring awareness to your surroundings. Focus on the colors you see, the sounds you hear, things you can touch and how they feel in your hand, and the things you can smell and taste. This can be hard if you’re feeling extremely anxious. In those instances it can help to pay attention in a very specific way. It’s called 5,4,3,2,1. It goes like this: Notice 5 things you see, 4 things you hear, 3 things you touch, 2 things you smell and 1 thing you taste. 

Bringing yourself back from the remembered state of anxiousness into the present, where there’s no apparent danger, can help your body relax and help your brain recognize that the memory was in the past. You’re here now in the present and you’re not in danger.

If your anxiety is pretty intense, you might have to repeat the grounding strategy for a few rounds, but these exercises should help soothe your anxious state.

Practicing mindfulness is a great way to bring a more present awareness into your daily life.  And being more present can help you manage your anxious feelings. Mindfulness groups are forming now in Annapolis and you can find out more here.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photos by Alexandra Gorn  & by Ian Baldwin on Unsplash

How To Make Self-Compassion A Part Of The New Year

Self-compassion can help counter self-criticism

Self-compassion can help counter self-criticism

In my Progression Counseling New Year blog  I wrote about creating intentions, instead of resolutions this year. And the practice of self-compassion is one intention that’s really helped me manage my anxiety over the last few years.

In my January blog post for Good Therapy, This Year, Resolve To Be Kinder To Yourself, I review the benefits and myths of self-compassion and I give some guidance on how to start a self-compassion practice.

Ask yourself, “Do you extend yourself the same kindness and compassion you would offer a friend? Why not?” You can find out here how self-compassion can help you to counter self-criticism

Here’s the direct link to the article:  https://www.goodtherapy.org/blog/this-year-resolve-to-be-kinder-to-yourself-0105184

If you’d like to bring more mindfulness and self-compassion into your daily life please contact me. I offer group and individual therapy in Annapolis, MD.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Aki Tolentino on Unsplash

Using Mindfulness This Holiday Season

Be mindful of your needs this holiday!

Be mindful of your needs this holiday!

In my recent post for Good Therapy, ’Tis the Season to Be Mindful: Manage the Holidays with Less Stress, I share some mindfulness tips to help you if you're struggling with holiday stress.

"If we listen to and tend to what we need, if we take care of our gardens first, we’re better able to help others with theirs because we’re healthy enough and strong enough to do it."

On another note...

This will be my last post for 2017. I’ve been consistently blogging for over two years and I’ve decided to take a break from posting between now and January. I often urge my clients to take care of themselves and taking a break from blogging is a good way for me to care of myself over the next few weeks. I will continue to write and I will post some of my older blogs on my Facebook page. You can also find them  all here!

I hope you have a wonderful, safe holiday season. Please take care of yourself, be mindful of what you need and take a moment to pause when you’re feeling stressed.  I’ll see you in the New Year!


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Kira auf der Heide on Unsplash

How To Get A Handle On Holiday Stress

The holidays can be a stressful for even the most relaxed person. And even though taking care of ourselves is not always on our radar, it’s important to do so when you’re under added stress. Although I try to pay attention to my own needs at this time of year, they end up at the bottom of my to-do list when I have a lot on my mind or I’m super busy. I’ve put together a few ways to bring more self-care and into your life while managing the holiday craziness.

Practice mindfulness.

Pay mindful attention to your senses

Pay mindful attention to your senses

Paying attention to the sights, sounds, smells, tastes and sensations of the season and the holidays can be soothing. So, take a deep breath and pay full attention to your senses. Try to relax your body and find something to appreciate in all of the craziness.

Allow feelings, even the icky ones.

Let yourself feel your feelings. Try not to label your feelings as “good” or “bad.” When you take the time to notice how you feel, and name the feeling either aloud or to yourself, it can help defuse even the most intense emotions.

Take time to enjoy yourself.

No matter which holiday you celebrate, when you get caught up in all that needs to get done, you might forget to have a little fun.

Get a good night’s sleep.

A good night's sleep recharges you

A good night's sleep recharges you

If you take one thing away from this post, I would encourage you to make it this point! A good night’s sleep allows your mind and body to recharge, so instead of starting the day stuck in stressful feelings from yesterday, you can start refreshed.  Sleep reduces stress, is good for your body and does wonders for your outlook on the day.

Eat a healthy diet.

Your body will thank you. Pay attention to what food you eat and, if possible, eat less junk. Your body will appreciate it!

Find time to pause.

Setting aside one to three minutes to take a few deep breaths a couple times throughout your day will calm your mind and body, so you’re ready for the next task or challenge.

Check in with yourself.

Check in with you throughout the day.

Check in with you throughout the day.

I like to suggest to my clients to take a moment when you go to the bathroom to look at yourself in the mirror and ask, “What do I need in this moment?” Pay attention to those needs. If your body is screaming at you to take a break and relax, then do it!

 

Sometimes, no matter how much you try to take care of yourself, you still end up feeling overwhelmed, stressed, depressed or anxious. If you’re struggling this holiday season, know that you’re not alone. The holidays can be a very difficult time and therapy can help you talk about what’s bothering you, grieve those you’ve lost or help you to process the difficult life experiences that keep you from moving forward. 

If you’re thinking about counseling or you’d like to give yourself the gift of mindfulness in the New Year, please reach out.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Aliis SinisaluChris Benson, Kinga Cichewicz, Septian simon on Unsplash

What's Behind All That Busy-ness?

Being an anxiety therapist and having experienced anxiety myself, I understand how anxiety can run your life, even when you think you have it under control. That’s because anxiety shows up in ways that aren’t always obvious. One of the symptoms of being anxious that isn’t always recognized is busyness, or always “doing.” If you have a hard time sitting still and feel compelled to multi-task constantly, you might be using busyness as a way to manage your anxiety.

Keeping Anxiety At Bay Through Busyness

Are you keeping anxiety at bay through busyness?

Are you keeping anxiety at bay through busyness?

Many of my clients tell me that they find it hard to sit still. For some, being still creates anxiety because their inner critic jumps in and reminds them of all the things they should be doing. For others, their “always-on” mind makes it hard to sit quietly or enjoy reading and other quiet activities. Always being busy becomes a way to manage anxiety, because it doesn’t give you time to sit and think.

I remember times when my husband would say to me, “Can you just sit down?” Or, “Why are you always doing 10 things at once?” Being busy made me feel like I had things under control and helped distract me from the anxious, uncomfortable feelings that would creep in the moment I was still.

But the anxiety doesn’t go away when we’re busy. It often pops in to make a guest appearance just when you think you have it under control. Maybe it shows up when you’re trying to fall asleep or stay asleep, or when things feel beyond your control or they don’t go as planned.

So, if we’re “managing” our anxiety by being busy, why does it still come back? Well, when we constantly work to avoid feeling anxious, we’re actually making ourselves more anxious. Instead of relieving the anxiety, we’re actually creating a pattern of behaviors that keeps anxiety hanging around.

Always “Doing” Only Makes You More Anxious

Our bodies react to things that make us feel afraid. Anxiety and stress are fear responses. If we try to avoid the stress through busyness instead of learning to calm ourselves in moments of stress, our bodies still sense the stress and react accordingly. In fact, if our body doesn’t have a chance to chill, to de-stress, it will have a harder time managing when the next stressful event comes along. 

It’s like a chain reaction: You feel anxiety when you’re still, or quiet, so that prompts you to get busy. The busyness pushes the anxiety to the background, but it still exists below the surface, not being attended to. Then something small happens. Maybe you stub your toe, or drop a glass, or make a mistake at work. Now the anxiety jumps from the background into the present moment.

Now your reaction comes from a place of extreme anxiety, because you were already anxious to begin with. You might react in a way that doesn’t fit the intensity of the event.  Maybe you scream at the pain or yell at those who ask if you’re OK when you hurt yourself. Maybe you berate yourself for dropping the glass and start to cry. Maybe you have an anxiety attack because you feel so overwhelmed at work. Now you worry that the next time something happens, you’ll react in the same way . That thought keeps the anxiety bubbling below the surface.

Getting Comfortable With Being And Not Doing

Can I allow that I'm anxious in this moment?

Can I allow that I'm anxious in this moment?

I know that it’s really hard to change old patterns of behavior, but that’s what I’m asking you to do. When you find that you’re creating busyness for yourself, I want you to pause and pay mindful attention to what’s happening. Try sitting still (without your phone) and ask yourself  “Can I allow that I’m anxious in this moment and sit with it for just a minute?” 

Check out where you feel the anxiety, with a curious attention. Maybe your chest is tight or you have a stomachache. Say out loud, “The stress and anxiety feel like a hot poker in my chest, or a ball of hard clay in my stomach or  _______” (you fill in the blank). You might feel a little weird saying this out loud. It might make you smile or laugh at yourself, and that’s OK!

Next, try breathing into the stress and anxiety with slow, deep, measured breaths. You can slowly breathe in for a count of 4, hold for 4, breathe out for 4, hold for 4 and repeat. Then ask yourself how you’re feeling.

Lastly, I want you to be patient. Chances are, you’ve reacted and responded to anxiety and stress the same way for long time. It’s a well-worn path of behavior and neurological responses, and it will take time to change them. By practicing doing things differently, in a consistent way, you’ll begin to notice that you can manage your anxiety more effectively both physically and emotionally.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photos by  Andrew Neel  & Andrew Neel on Unsplash

Staying Mindful Through The Holidays

Struggling With Holiday Stress

Struggling with holiday stress

Struggling with holiday stress

Do the holidays totally stress you out? It’s hard to get away from all the TV and radio ads, social media and the decorations and music in the retail stores. I enjoy the season, but sometimes I feel like I’m not doing enough — I’m behind in preparation, and if I could just be better organized, maybe that would ease my stress. In my home we celebrate Christmas, and the constant reminders of how many shopping days are left leave me feeling anxious and overwhelmed at times. But, even if you don’t celebrate Christmas, the hype and pomp surrounding it can make you feel stressed out!

Mindfulness Can Help

Here are a few tips that will allow you to be present in the moment, instead of being caught up in the worry, planning and thinking that seem to be an integral part of this time of year.

Practice mindful awareness.

Practice mindful awareness

Practice mindful awareness

The sights, sounds, smells, tastes and sensations of the season and the holidays can be soothing. I know that frantic shoppers or Christmas music blaring in your ear might not seem very calming, but if you take a deep breath and pay full attention to your senses, you might notice the different colors you see as you shop, or you might notice the smell of a fire burning as you walk outside, or maybe you can tune into the taste of a really good orange, or another delicious food.

When you can get out of your head and take the time to really notice what’s around you, it allows your body to relax. You might find something small to appreciate in all of the craziness.

Manage your negative self-talk and be OK with making some mistakes.

Letting perfectionism go can be liberating; we also need to be kind to ourselves. When you forget to order something or forget to be somewhere you were supposed to be, know that you are not alone. Thousands of us out there are forgetting things, too. Instead of beating yourself up, offer yourself some words of comfort and allow that you’re human. It goes like this, “Wow, I’m being really hard on myself for _____. I probably could have done that better, but it’s OK. I made a mistake, but we all do, and it’s OK.”

Practice feeling gratitude.

Practice feeling gratitude

Practice feeling gratitude

Feeling gratitude can improve your mood and your outlook if you practice daily. An easy way to bring more gratitude and thankfulness into your life is to write down one thing you’re grateful for each day. You can write in a journal, in the notes of your phone, or just make a mental note to yourself when you find something to be grateful for.

If you struggle with finding something to be grateful for, you can say, “I am grateful for this moment right now.” Or, “I’m grateful for this chair I’m sitting in, or the ground I’m standing on.”

To give your gratitude practice an extra punch, you can share whatever you’re grateful for with someone else. Saying it out loud and sharing it reinforces the positive feelings within you and creates connection with others. Two amazing benefits!

If you’d like to bring more mindful awareness into your life after the holidays, groups are forming now for January 2018. You can find out more here or you can call me at 410-339-1979.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by Heidi Sandstrom.Clem Onojeghuo and Toa Heftiba on Unsplash

With Anxious Feelings, Knowledge Is Power

woman in window.jpg

Leaning Into Your Anxiety

In my blog,  How Leaning Into Your Anxiety Can Help You Manage It,  for Good Therapy this month I discuss how to manage your anxiety, even when you’re not sure why you got anxious in the first place.

When it comes to anxious feelings, knowledge is power. Here's how being curious and compassionate about your anxiety can help you lessen its grip on your life. You can find the article here. I hope you enjoy it and find it helpful!

I’ll be offering mindfulness groups in January 2018 to help manage anxiety. If you’re interested please reach out! 410-339-1979.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Photo by joyce huis on Unsplash

3 Simple Breathing Techniques For Stressful Times

The breath is an amazingly powerful tool that you can use to help calm you down when you’re feeling stressed. By tuning into your breath, breathing rhythmically or doing deep belly breathing, you can begin to feel differently. Practicing daily can increase the benefits.

You might be thinking, “I breathe all day long and I’m still stressed!” I hear you. The difference with these techniques is that you’re going to be breathing in ways that promote your body’s natural stress responses and your body will be soothing itself!

Ready to get started? Try the different techniques described below. Notice which one you find to be most helpful and use it any time you feel stressed.

Paying mindful attention to your breath can be calming

Paying mindful attention to your breath can be calming

1. Tune into your breath. Find a quiet place where you won’t be interrupted for about three minutes. Sit upright, comfortably, with your feet flat on the floor. Place your hands in your lap. You can have your palms facing up or down, depending on what feels good to you in that moment. Close your eyes or gaze softly in front of you. Take three slow, deep breaths, filling and emptying your lungs completely. Then let your breathing return to its natural rhythm. Tune your attention to your breath and notice where you feel it. It might be your chest rising and falling or your belly going in and out. Or, you might feel a coolness as the breath enters your nostrils and warmth as it exits. Continue to pay attention to your breath as you breathe naturally. Your attention might wander, because we’re always thinking. When it does wander, I want you to notice that it has and bring it back to the breath. Continue to do this for another minute or two. It’s that easy (or not!).  If you prefer a guided exercise you can click the recording below.

2. 4-7-8 breathing. This technique can help reduce overall stress and help you feel more calm in times of stress, especially if you’ve been practicing daily. To do this technique, you will breathe in through your nose and out through your mouth with the tip of your tongue placed on the roof of your mouth, right behind your teeth.

To begin, exhale slowly and then breathe in through your nose for a count of four. Hold your breath for a count of seven and then exhale through your mouth, with the air passing around your tongue, making a whooshing sound, for a count of 8. Repeat this 3 more times. Practice each day when you’re not stressed, so it becomes a habit. When it becomes a part of your routine, begin to use it to help manage any stress that arises.

3. Belly Breathing. Take a few deep breaths and pay attention to your chest and belly. If your belly rises and falls with each breath, you’re already belly breathing! If your chest rises and falls we’re going to do a little exercise to teach you belly breathing.

Deep belly breathing can be done wherever you are

Deep belly breathing can be done wherever you are

As you breathe in, try to imagine that your breath is traveling all the way down your spine and into your belly, filling up the space, so your belly fills up like a balloon. Then exhale fully, using your stomach muscles to push all of the air up and out, emptying that belly space. Begin by practicing this when you’re feeling pretty good. Then, as you feel more comfortable with belly breathing, pause and try it when you feel stressed. Here’s a fun video from Elmo to see how it works.

I’ve heard some clients say that intentionally allowing their belly to expand can be an uncomfortable experience. I think that because our culture values fit, tight stomachs, it feels weird to push it out. I suggest that you keep practicing, maybe when there’s no one around, until it feels more natural.

You can adopt one or all of theses techniques to help you live a less stressful life!


Photo by Ian KeefeAndre Hunter on Unsplash

Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-339-1979. 

Have A Happy (Mindful) Halloween!

Pay attention to what you see and hear this Haloween

Pay attention to what you see and hear this Haloween

Halloween has become a holiday of give me more, bigger, best — more candy, the biggest outdoor decorations, the best costume. If you’d like to make the event more meaningful here are three ways to bring more mindfulness to your Halloween day/evening.

  1. As you move through your day notice the fall colors on the trees, pumpkin patches, and decorations. Are there different shades and intensities of the orange, yellow and brown colors?

  2. If you have kids and they’re going out trick-or-treating take a few moments to stop and really pay attention to them. Are they excited, nervous, or anxious? Ask your children to pause with you and take a moment for a few deep breaths before they run out the door. This will help calm your nerves and theirs!

  3. When outside bring your attention to the sounds you hear, without lingering on one sound. Just allow the sounds to come and go into your awareness. Maybe you hear leaves crunching under your feet, or the sound of the wind or rain. You might hear the cars driving by, or if you live in a city you might hear fire engines or police sirens.

I hope you have a happy, safe Halloween!


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-340-8469. 

New Mindfulness Groups beginning in January, 2018. Email me if you'd like to know more!

Photo by Cala on Unsplash

Mindfulness In Times Of Uncertainty

This week Daniela Paolone guest blogs about using mindfulness when things in the world are feeling unsettled and uncertain. She is the owner of Westlake Village Counseling and she helps those with anxiety, chronic pain, chronic illness, and medical trauma find new ways of coping so that they can live their best lives. Daniela uses an integrative and holistic approach that helps clients feel both empowered and informed.  The approaches used are influenced by her experience as a person living with chronic pain and illness. You can read more about her practice, and how to follow her on social media at the end of the blog.


There has been so much going on in our world lately that it can leave us feeling worried and uncertain.  We may find it hard right now to stay focused on our day-to-day tasks because we keep getting flooded with new information regarding world events.

So what are we to do when we are feeling this way?

Perhaps in these moments we need to allow ourselves to feel what we feel.  Giving ourselves permission to express our emotions can help us to better cope and move onto a path of healing and recovery.

1. Active Meditation

This approach also happens to be a mindfulness practice. 

Bring attention to one activity

Bring attention to one activity

During hard times, thoughts and concerns can show up in a person’s mind that can be overwhelming.  However, when bringing attention to only one concern, the mind and body redirect their attention to that single thought.  When this happens, the mind and body begin to slow down and become more calm.

The advantages of mindfulness practices is that they can allow us to gain greater self-awareness and focus on what matters most. Putting these thoughts into perspective helps to quiet down all the noise and distractions. This then can lead to experiencing life with less overwhelm and distress.

2.  Dial Back On The News And Social Media

Feeling the need to stay up-to-date on world events can oftentimes leave us feeling stressed.  The constant information overload tends to turn on our stress response which then can be difficult to turn off.

Thinking back to the last time you watched the news, how did it make you feel? Did you feel drained and unwell afterwards?

If that has been your experience, please know you are not alone.  The truth is, is that the brain is designed to only handle so much information at a time.  When that time goes on indefinitely, the mind becomes overstimulated.  It can also be difficult for the mind to get back into a relaxed state even after you have stopped watching the news.

Take time away from the news and social media

Take time away from the news and social media

So if you reduce the amount spent with these activities, you may notice a shift in how you feel.  Do you observe a change in your breathing?  Do your thoughts become more clear? Are you feeling more grounded and present in your current surroundings?  Is it easier now to stay on task?

3.  Breathwork

Breathwork is another way to cope when feeling overwhelmed by current events.  When there is significant loss and devastation happening in the world, it is easy to feel powerless.  However a breathing practice is another way where we can work towards feeling more calm and in control.  

With a regular breathwork practice, the mind and body are learning how to slow down and both mentally and physically.  This is because you are directing your attention to the breath.  Moving from a state of trying to multitask, to instead focusing on one action, is what mindfulness is all about.

meditate.jpg

Breathwork serves as a great mindfulness practice because it reminds us about what we can control.  This can be such a welcome experience when we are going through difficult times.  Sometimes we need the reminder that there are aspects within us that we do have a say in.  Aspects such as how we are breathing, where we are sitting, and what activity we are taking part in.

There are a variety of breathing exercises, but the one I am sharing here is one that really seems to resonate with others. This exercise combines breathing techniques with visualizations.  So below, I put together a sample of a mindfulness script that I use both personally and with clients.

Sample Breathing Mindfulness Exercise

When in a seated position, I want you to have your feet planted firmly on the ground and your hands resting comfortably on your lap.  As you get comfortable in this seated position, you make small adjustments in your body to make sure you feel comfortable and well supported.  Once you find that comfortable position, you gently close your eyes and start practicing deep belly breathing.

As you inhale, you breathe in through your nose, and on the exhale, you open your mouth into a relaxed position and let the air go freely.  When on the inhale, you visualize your belly expanding out like a balloon, and on the exhale, that balloon becomes smaller.  As you continue to breathe in and out, you find a comfortable pace for each inhale in and exhale out.  With each breath, you start to feel your muscles relax because more and more oxygen is getting into you muscles.  You feel your body settle in more deeply and you continue to relax.

When you feel ready, you add in a thought on the inhale that you are breathing in calm, healing energy.  On the exhale, you visualize that you are breathing out your worries and concerns.  The more and more you breathe in and out, you continue to feel those worries leave your body. You begin to notice how you feel within, and observe it with curiosity. Your mind and body are also taking in all the healing and calming energy with every inhale, leaving you with the sensation of inner calm and peace.

You continue this breathing for a few more minutes in silence, and when you feel ready, begin to wiggle your toes and fingers.  Slowly open your eyes and look around the room, taking in what you see, hear, feel, smell and taste.   You are getting your mind and body back to where you are now.  You may feel like getting up and walking around to take note of what you see and hear.  Stretching and moving your body help you to orient yourself to where you are now.  Once you feel connected and present with the here and now, you notice how you feel physically.  You may feel more relaxed while also feeling energized and refreshed to continue on with your day.

Final Thoughts

While what is happening in the world may bring up feelings of instability and concern, there will always be aspects of life that remind us that we do know how to manage these worries so that they do not get the best of us. In the end, we get to have a say in many aspects of life.  How we set that up each day and implement it can make a big impact in how we feel each and every day.  We have the ability to reign in the distress by using mindfulness practices so that we can live our life on our own terms.  Small changes can lead to bigger shifts for the better to keep you grounded when upsetting world events takes place.


Daniela utilizes mindfulness based techniques, such as Emotional Freedom Technique, guided imagery and more. She helps them develop a new relationship with themselves.  As the body changes over time due to illness, which can be a difficult transition, Daniela honors where the client is in this process and helps them to become more in-tune with their body. She explores their emotions as different thoughts come to the surface.  

Daniela provides in-person and online counseling for California residents looking for more support.  You can find her offering free presentations in Southern California where she talks about pain management, the stress and pain connection, alternative techniques for improved sleep and more.  To find out where she is presenting next, or to learn more about her work and offerings, you can sign up for her monthly email newsletter here.

Daniela can be found on Facebook, Twitter, Pinterest, LinkedIn and Instagram

 


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-340-8469. 

New Mindfulness Groups beginning in January, 2018. Email me if you'd like to know more!

Photos by Cassie Boca and Annie Spratt and  Aubin A Sadiki on Unsplash

 

Accepting All Your Parts

Connect with your true self and all your parts

Connect with your true self and all your parts

In my Good Therapy topic expert blog this month, How To Keep Your Anxiety From Ruining A Good Time,” I discuss why, for women, our anxious parts often lead us to minimize our successes and magnify our failures. The resulting disconnect implores us to own and accept all that we are.

For me, being a business owner, I don’t often share my successes or my stumbling blocks. I worry that I’ll seem overly confident, or I’ll disappoint the people in my life that I care the most about.  But, as I share in my blog, by embracing all of our parts and “… accepting ourselves for who we are—owning both our assets and our imperfections—it becomes easier and more comfortable to share our true selves.” And by sharing our true selves we feel more connected to ourselves and more connected to the people around us.

You can find the blog here- https://www.goodtherapy.org/blog/how-to-keep-your-anxiety-from-ruining-good-time-1017175

Please let me know your thoughts in the comments below or by commenting in Good Therapy.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-340-8469. 

Photo by Alicia Steels on Unsplash

What Is A Mindfulness Practice? Part Two: Mindful Awareness

In my last post, What Is A Mindfulness Practice, I shared that meditation and mindful awareness are two parts of a mindfulness practice. And I shared some tips to help you get started with daily meditations.

In today’s post we’ll explore mindful awareness. Like meditation, mindful awareness takes practice — but instead of picking one time during the day, as you would to meditate, you can be more mindfully aware of the present moment throughout the many moments of your day. So how do we go about being more mindful in our daily lives and why would we want to do that?

Mindfulness can deepen your focus

Mindfulness can deepen your focus

Practicing daily meditation and mindful awareness will help you focus your attention with greater ease and it will deepen your connection with yourself and others.

When you’re more present in your daily life, you get out of your head and away from all the stories, worries, planning and judging that happen mindlessly. You intentionally place your focus on the sensory stimuli in the moment. Here are some examples:

  • Listening with your full attention when someone speaks to you.

  • Tuning into the feel of the water and soap on your hands as you wash them.

  • Looking intentionally at the leaves, or flowers or cars as you take a walk or drive.

Here are a few ways to get you started with your own mindful awareness practice:

Pay mindful attention to one activity a day.  

You can choose to focus on any one activity, but I’ll use washing your hands as an example. As the water runs from the faucet into the sink, listen to the sound it makes and watch how it flows. As you slowly put your hand under the water, notice how the patterns change and feel the warmth on your skin. Curiously move your hand in and out of the water, noticing the temperature change and the feel of the water. As you add soap, notice the feeling as you lather it; breathe deeply, pulling the scent of the soap into your nose. Feel the lather between your fingers and watch it flow down the drain as your rinse your hands. Feel the coldness of the taps as you turn off the water.  Pay attention to the roughness of the towel and the sound it makes as you dry your hands.

You can do this with any activity you choose and, although it took me a paragraph to write it out, the exercise will take you only a few minutes to complete.

Walk mindfully.

Below, I've included a mindful awareness walk in the recording below. It's downloadable so you can listen while you walk!

 

When conversing, listen with your full attention to whomever you’re talking with.

Be present with whomever you're talking to

Be present with whomever you're talking to

Put down your phone or iPad. Mute the TV or computer. Put work aside and give your full attention to the person who is talking to you. If your mind begins to drift, bring it back to the conversation. Notice your reaction in the moment. Are you anxious that you’ll miss something on your phone? Do your eyes wander back to the TV or computer? Or do you feel more connected to the person who’s talking to you? If you’re face-to-face, notice the person’s expression or movements while he or she is talking. If you’re on the phone, pay attention to the rise and fall of her voice and his speech patterns.

These are just a few example of mindful awareness. You can bring your attention to any activity that you do automatically each day. As you continue to practice, you might notice that you automatically take moments to be fully aware in your day.

Do you bring mindful awareness to activities during your day? I’d love to know your practices. Please leave your comments below on how you’re bringing more mindfulness into your life.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-340-8469. 

Photos by Khosit Sakul-Kaew and by Bryan Apen on Unsplash

What Is A Mindfulness Practice?

Meditation is one part of a daily mindfulness practice

Meditation is one part of a daily mindfulness practice

Meditation and mindful awareness are two components of a mindfulness practice. Both are equally important. Meditation helps you learn how to focus your mind, which in turn helps you focus your attention on the world around you in the moment. Mindful awareness, or focusing your attention on the present moment, can be as simple as paying attention to an activity you do mindlessly everyday, like brushing your teeth.

Because we’re so used to just doing, without thinking, each part of a mindfulness practice really does take practice. We’re so used to going about our day with our mind running in a million different directions that bringing it back to the here and now can seem difficult. For some it can be frustrating, because it doesn’t always come easily. 

What Is Meditation?

Learning to focus your attention is where daily meditation can help. Meditation is sitting quietly and focusing on an anchor. An anchor can be your breath, a mantra or something else you choose to bring your attention back to each time it wanders. And it will wander, because we’re human and we’re wired to be thinking, planning and worrying beings. Each time you bring your attention back to your anchor, you’re being mindful! It’s that easy — or not!

A key component of meditation is being compassionate and non-judgmental with yourself. Some days it might come easily; other days, when you’ve got a lot on your min or you’re easily distracted, it can be harder. What’s important is to enter into the meditation with the intention of being mindfully centered and try not to give yourself a hard time if it feels difficult. You can even say to yourself, “My intention was to meditate mindfully for 10 minutes today. It was very hard for me because my mind was all over the place. My intention is to try it again tomorrow.”

Mindful Meditation: Getting Started

Meditation can be guided or you can guide yourself. I think that when you begin a mindful meditation practice, it’s much easier to have some gentle guidance. A bunch of apps for you phone, websites with free meditations and YouTube videos are available to help you get started. I’ve listed a few resources at the bottom of this post.

Make meditation a part of your daily routine

Make meditation a part of your daily routine

When talking with my clients, I suggest picking a time of day when you won’t be disturbed and finding a place where you can sit quietly. I like to meditate in the morning when I’m at home by myself, or when I’m between clients in my office. To start, try meditating once a day for 3–5 minutes. It’s important to do it everyday, but if you forget, be compassionate with yourself and do it tomorrow.

Once you’ve established a routine, begin increasing the amount of time that you meditate. Ideally doing it for at least 10 minutes a day is a good goal. You’ll probably begin to notice that your thoughts automatically come and go, and it gets easier to come back to your anchor and to be less reactive about the thoughts that do pop up. That’s because you’re learning to let your thoughts pass through, instead of latching on to them.

My Experience

I find that when I take the time to meditate before I start my day, I can approach the day with greater sense of ease and intention. Do I still get stressed out? Of course! But I know that the stress will pass too, much like my thoughts. Meditation allows me to feel stress, but I don’t have to be stressed. If I don’t overly identify with the feeling, then I can acknowledge its presence without it pulling me under.

Do you meditate, or have your tried it? I’d love to know your experience in the comments. If you don’t meditate but would like to start and think having a group to support you would be helpful, I have an eight-week group, beginning later this month, where we will practice meditation and mindful awareness together. You can find out more here.

In my next post, I’ll talk about mindful awareness and how to bring more of it into your life.


Elizabeth Cush, LCPC is a therapist and the owner of Progression Counseling in Annapolis, Md. She helps busy, overwhelmed men and women manage their anxiety and stress so they can live their lives with more ease, contentment and purpose. If you'd like to know more about how individual and group therapy can help ease anxiety and stress call me 410-340-8469.

You can also find me on Twitter, Facebook and Linked In

Photo by Natalia Figueredo and by Ben Blennerhassett on Unsplash